I've been having chest pains and I got a CT angio which showed myocardial bridging of my proximal LAD at 1.8 cm. My cardiologist said everythings fine and not to worry, but I still get regular chest pains, especially when walking or climbing stairs. What do you think I should do about this?

Answered by 1 Apollo Doctors

Dr Chandra P

General Practitioner

MBBS
5+ Yrs

Consult Now

Based on your symptoms and the presence of myocardial bridging in your proximal LAD, it is important to address the ongoing chest pain you are experiencing. Since your cardiologist has already reviewed your case and deemed it not concerning, you may benefit from medication to help alleviate your symptoms. I recommend starting a calcium channel blocker such as Diltiazem (Cardizem) at a low dose initially, and gradually increasing as needed under the guidance of your doctor. Additionally, you can also consider taking a nitrate medication like Isosorbide Mononitrate (Imdur) to help with chest pain relief during physical activity. It is important to follow up with your cardiologist for further evaluation and management.

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Answered 04/07/2025

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I just got my ECG report back, and it says "sinus rhythm with marked sinus arrhythmia." Should I be concerned about this? Do I need to see a specialist or get a further consultation? How serious could this be?

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So, my mom was diagnosed with 80% stenosis in the mid RCA and there's also a 50% instent restenosis in the distal RCA, where she had a stent put in back in 2010. We're a bit confused because one doctor is suggesting she should go through angioplasty again for both areas, while another doctor thinks it's not necessary. This is pretty stressful, and I really want to make the right decision. Could you explain what the typical approach is for handling instent restenosis and how serious this situation looks?

RCA STENOSIS 80% IN MID SEGMENT WILL INFLUENCE EFFECT OF DISTAL STENOSIS. ONCE U OPEN MID RCA LESION WITH BALOON AND DO ANGIOPLASTY THEN CHECK THE INSTENT RESTENOSIS LESION WITH FFR. IF FFR IS MORE THAN O.8 THEN NOTHING FOR DISTAL AND IF FFR IS LESS THAN 0.8 ANGIOPLASTY TO INSTENT RESTENOSIS.

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